{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:31:02Z","timestamp":1793730662571,"version":"4.6.1"},"reference-count":46,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["R01DC011524"],"award-info":[{"award-number":["R01DC011524"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether tensor veli palatini muscle (mTVP) tenopexy performed during furlow palatoplasty (FP) reduces the occurrence of otitis media with effusion (OME) in children with cleft palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Parent- and assessor-blinded randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Tertiary clinical care institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>In total, 81 nonsyndromic children with cleft palate Veau I\u2013IV were randomized to undergo traditional FP or FP with mTVP tenopexy (modified FP [MFP]). Middle ear status was evaluated longitudinally between 2 and 7 years of age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>FP with or without mTVP tenopexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Presence of OME after extrusion of ventilation tubes (VTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age at palatoplasty was similar between groups (FP: 1.05\u2009\u00b1\u20090.17 years; MFP: 1.07\u2009\u00b1\u20090.18 years;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.585). Baseline characteristics, including sex, race, preoperative OME, and Veau classification were comparable. Rates of additional surgical interventions (cheiloplasty, revision palatoplasty, alveolar bone graft, adenoidectomy, VT reinsertion, and tympanoplasty) did not differ between groups. The frequency of OME from ages 2 to 7 years was similar when analyzed by child (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.09\u2013.90), by ear (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.145\u2013.96), or using cumulative incidence (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.324;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.569).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this first randomized, blinded clinical trial evaluating mTVP tenopexy during FP, no improvement in the frequency or cumulative incidence of OME was observed. Given the absence of benefit and the additional operative time and cost, mTVP tenopexy is not recommended.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>ClinicalTrials.gov ID<\/jats:title>\n                    <jats:p>NCT01535131<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261438891","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T11:04:04Z","timestamp":1775214244000},"page":"4289-4298","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tensor Veli Palatini Muscle Tenopexy During Furlow Palatoplasty Fails to Improve Otologic Outcomes: A Randomized Clinical Trial"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0551-8285","authenticated-orcid":false,"given":"Cuneyt M.","family":"Alper","sequence":"first","affiliation":[{"name":"University of Pittsburgh School of Medicine"},{"name":"Division of Pediatric Otolaryngology, University of Pittsburgh Medical Center Children\u2019s Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam S.","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Arnot Ogden Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen M.","family":"Mandel","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Douglas","family":"Swarts","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph E.","family":"Losee","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"},{"name":"Division of Pediatric Plastic Surgery, University of Pittsburgh Medical Center Children\u2019s Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"e_1_3_3_3_2","unstructured":"Kreilborg S Hermann N Darvann T. Facial growth and development in cleft children. In: Losee J Kirschner R eds. Comprehensive Cleft Care. New York NY: Mcgraw Hill Corporation; 2009:749\u2013762."},{"key":"e_1_3_3_4_2","unstructured":"Sommerlad B. Cleft palate repair. 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